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Organization
SHOE FIT & DIABETIC SHOES
Active
Organization
SHOE FIT & DIABETIC SHOES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PASSMORE (CONSULTANT)
(915) 875-4519
Entity
Organization
Contact information
Practice address
2301B WYOMING AVE, EL PASO, TX 79903-3808
(915) 875-4519
Mailing address
2301B WYOMING AVE, EL PASO, TX 79903-3808
(915) 875-4519
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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